Subcutaneous Dissociative Conscious Sedation (sDCS) an Alternative Method of Anesthesia for Fiberoptic Bronchoscopy

Mihan J. Javid^1*, Zoha Alinejad¹, Asghar Hajipour¹, Zahra Khazaeipour²

¹Department of Anesthesiology, Imam Khomeini Medical Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
²Brain and Spinal Cord Injury Research Center, Imam Khomeini Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

DOI: 10.4236/ojanes.2015.57027                

Abstract

Objective: Current randomized clinical trial was conducted to compare the efficacy and side effects of dissociative conscious sedation and conscious sedation in patients under bronchoscopy. Methods: In this randomized clinical trial, 110 patients scheduled for Fiberoptic Bronchoscopy in a training hospital in 2012 were enrolled and randomly assigned to receive either SC ketamine plus IV fentanyl (dissociative conscious sedation) or placebo plus IV fentanyl (conscious sedation) and the efficacy and side effects were assessed and compared. Results: There was significant difference between systolic and diastolic blood pressure and heart rate in two groups and more stability was shown in dissociative conscious sedation group (P < 0.05). Also the incidence of cough, the need to extra dose of fentanyl and recall showed less frequency in dissociative conscious sedation group (P < 0.05). Conclusions: Totally, according to the obtained results, it may be concluded that Subcutaneous Dissociative Conscious Sedation (sDCS) in comparison to Conscious Sedation is significantly more efficient accompanied by less side effects in fiberoptic bronchoscopy and using this method is recommended. Implication of the Manuscript: The study was designed in order to evaluate the efficacy of subcutaneous Dissociative Conscious Sedation (sDCS) Method in fiberoptic bronchoscopy.

Keywords

Subcutaneous Dissociative Conscious Sedation, Ketamine, Fiberoptic Bronchoscopy

Conflicts of Interest

The authors declare no conflicts of interest.

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